Provider Demographics
NPI:1528479128
Name:SCHREIBER, SHERYL (MASSAGE THERAPIST)
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:
Last Name:SCHREIBER
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 CHURCH ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:ALLENTON
Mailing Address - State:WI
Mailing Address - Zip Code:53002-9593
Mailing Address - Country:US
Mailing Address - Phone:920-319-6109
Mailing Address - Fax:
Practice Address - Street 1:410 E WASHINGTON ST STE B
Practice Address - Street 2:
Practice Address - City:SLINGER
Practice Address - State:WI
Practice Address - Zip Code:53086-9650
Practice Address - Country:US
Practice Address - Phone:414-365-3003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-16
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI12643-146172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist